주 진단명 일치도와 타당성 평가 연구 : 전자의무기록과 진단서를 중심으로

다국어 초록 (Multilingual Abstract)

The purpose of this study is to recognize the importance on accurate principal diagnosis codes written and to improve the agreement by investigating the factors on affecting the concordance on the principal diagnosis between electronic medical records and medical certificates, the subjects were a total of 327 people for who medical certificates were issued among discharge of patients summary in gastroenterology, orthopedics in medical. surgery department. Statistical analysis was to conduct t-test to examine statistical significance of the main diagnosis concordance between electronic medical records and medical certificates by utilizing SPSS 18.0 dichotomous logistic regression analysis and correlation analysis were carried out to find out the factors affecting principal diagnosis concordance and the relevance of the variables.
study showed following result: Looking at the general characteristics of the surveyed subjects, men's distribution was higher than that of women, 50-59 years old by age group and health insurance(87.5%) by the type of insurance showed the highest distribution, respectively.

목차 (Table of Contents)

• Ⅰ. 서론 1
• Ⅱ. 연구 대상 및 방법 3
• 1. 연구대상 3
• 2. 연구방법 4
• 3. 업무절차 6
• 4. 용어정의 7
• 5. 통계분석 8
• Ⅲ. 연구 결과 9
• 1. 연구대상자의 일반적 특성 9
• 2. 주 진단명 일치도 10
• 2.1 일반적 특성에 따른 주 진단명 일치도 10
• 2.2 입원형태에 따른 주 진단명 일치도 12
• 2.3 진료형태에 따른 주 진단명 일치도 14
• 2.4 퇴원형태에 따른 주 진단명 일치도 19
• 2.5 발급형태에 따른 주 진단명 일치도 21
• 3. 주 진단명 일치도에 대한 상관분석 23
• 4. 주 진단명 일치도에 대한 로지스틱 회귀분 24
• Ⅳ. 고찰 25
• Ⅴ. 요약 및 결론 28
• 참고문헌 29
• ABSTRACT 31